UNIVERSITAS AIRLANGGA



Detail Article

Jurnal Oftalmologi Indonesia

ISSN 1693-2587

Vol. 7 / No. 3 / Published : 2010-06

Order : 8, and page :118 - 121

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Original Article :

Ptotic management in marcus gunn jaw-winking syndrome

Author :

  1. Lailus Sofatul Layyin*1
  2. Ratna Doemilah*2
  1. Mahasiswa Fakultas Kedokteran
  2. Dosen Fakultas Kedokteran

Abstract :

The purpose of this case report is to present a ptotic management in Marcus Gunn Jaw-Winking Syndrome in a 7 years old girl withcongenital blepharoptosis. Right eye VA was 5/5 and left eye VA was 5/12 S-0.25 C-3.00 A 20° 5/5. The ptotic upper eyelid elevatedwith jaw movement and sucking. Examination showed MLD 5 mm, MRD 0 mm, IPF 7 mm and LF 9 mm. This patient was diagnosedas ptosis in Marcus Gunn jaw-winking syndrome caused by an aberrant connection of the oculomotor nerve fibers and the trigeminalnerve fibers to the muscle of mastication. The patient underwent Lemagne procedure which consists of disinserting or extirpating theaberrantly innervated levator muscle 1 cm under the Whitnall’s ligament and suspending the eyelid from the eye brow (tarsofrontalissuspension) until upper eyelid margin was 2 milimeter under the limbus. Marcus Gunn phenomenon was eliminated after the surgery.Ptosis in Marcus Gunn jaw-winking syndrome can be managed with Lemagne procedure by excising the levator muscle and tarsofrontalissuspension (brow suspension) with a good result.

Keyword :

Marcus Gunn jaw-winking syndrome, blepharoptosis, brow suspension,


References :

Vaughan D.G,(2000) Vaughan D.G Edisi 14; p. 86-88;300 : Widya Medika, Jakarta

Blaydon S.M,(2008) Marcus Gunn jaw-winking syndrome - : from: www.emedicine.medscape.com./article/1213228

Kanski J.J,(2007) Clinical Ophtalmology Third edition; p. 133-138 : Butterworth Heinemann





Archive Article

Cover Media Content

Volume : 7 / No. : 3 / Pub. : 2010-06
  1. Effect Of Genistein On Conjunctival Goblet Cells Density And The Expression Of Interleukin-1bin Ovariectomized Rats
  2. The Relation Of Onset Of Trauma And Visual Acuity On Traumatic Patient
  3. The Role Of Human Papilloma Virus Type 16 In Retinoblastoma
  4. Ocular Survival Rate Penderita Retinoblastoma Yang Telah Dilakukan Enukleasi Atau Eksenterasi Di Rsud Dr. Soetomo Surabaya
  5. Human Papilloma Virus In Progressive Pterygium And Stationary Pterygium
  6. Perbandingan Ekspresi P53 Pada Pterigium Primer Progresif Setelah Pemberian Injeksi Subkonjungtiva Dengan Mitomicin C Dan 5 Fluorourasil
  7. Effect Of Genistein On Conjunctival Goblet Cells Density And The Expression Of Interleukin-1b In Ovariectomized Rats
  8. Management Of Upper Eyelid Coloboma With Three Steps Technique Surgery
  9. Ptotic Management In Marcus Gunn Jaw-winking Syndrome
  10. The Caterpillars Eat One Eye On The Pseudo Lymphoma Tumor
  11. The Untreatable Case Of Retinopathy Of Prematurity Grade V

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